| NPI | 1013131366 |
|---|---|
| Former Name | NANCY HENSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC 4707) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LCPC- 4707) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2023-02-16 |